Evidence map›Paper›PMID 28449630›Full record

Trial reportThe Journal of international medical research2017

Sevoflurane at 1.0 MAC together with remifentanil and propofol produces clinically acceptable intubation conditions at the vocal cords: A prospective randomized study.

Attila Ovari, Ilona Bicker, Susann Machmueller, Tobias Schuldt, Martin Sauer, Stefan Soltesz, Gabriele Noeldge-Schomburg, Robert Mlynski, Thomas Mencke

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of international medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. The impact of anesthesia instruments and drugs on the occurrence of vocal cord injury, systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Attila Ovari1 Department of Otorhinolaryngology, Rostock Medical University Center, Rostock, Germany.
Ilona Bicker2 Department of Anaesthesia and Intensive Care Medicine, Rostock Medical University Center, Rostock, Germany.
Susann Machmueller2 Department of Anaesthesia and Intensive Care Medicine, Rostock Medical University Center, Rostock, Germany.
Tobias Schuldt1 Department of Otorhinolaryngology, Rostock Medical University Center, Rostock, Germany.
Martin Sauer2 Department of Anaesthesia and Intensive Care Medicine, Rostock Medical University Center, Rostock, Germany.
Stefan Soltesz3 Department of Anaesthesia and Intensive Care Medicine, KKH Dormagen, Dormagen, Germany.
Gabriele Noeldge-Schomburg2 Department of Anaesthesia and Intensive Care Medicine, Rostock Medical University Center, Rostock, Germany.
Robert Mlynski1 Department of Otorhinolaryngology, Rostock Medical University Center, Rostock, Germany.
Thomas Mencke2 Department of Anaesthesia and Intensive Care Medicine, Rostock Medical University Center, Rostock, Germany.
University of Rostock · DEKreiskrankenhaus Dormagen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective The overall intubation conditions after tracheal intubation with remifentanil, propofol, and sevoflurane at 1.0 minimum alveolar concentration (MAC) are worse than with rocuronium at 0.45 mg/kg. Therefore, we compared the intubation conditions and laryngeal morbidity (vocal cord injuries, hoarseness, and sore throat) with sevoflurane at 1.2 and 1.4 MAC versus 1.0 MAC. Methods In this prospective clinical trial, 90 patients were randomized to 3 groups: the sevoflurane 1.0, 1.2, and 1.4 MAC groups. At 3 min, tracheal intubation was performed and the patients' intubation conditions were assessed. The vocal cords were examined for injury by videolaryngoscopy. Additionally, the incidence and severity of laryngeal morbidity were compared between women and men. Results Acceptable intubation conditions were seen in 72% of the patients without significant differences between the groups. Overall, vocal cord injuries (oedema) occurred in three (4%) patients. Women reported sore throat more often than men (51% vs. 21%, respectively). Conclusions Intubation conditions were not improved with higher sevoflurane concentrations. The incidence and severity of sore throat were greater in women than men.

trial registrationClinicalTrials.Gov: NCT 01896245.

Indexed as

Intubation, IntratrachealAdultAnesthetics, InhalationFemaleHoarsenessHumansHypnotics and SedativesMaleMethyl EthersMiddle AgedPharyngitisPiperidinesPropofolProspective StudiesRemifentanilSevofluraneAnesthetics, InhalationHypnotics and SedativesMethyl EthersPiperidinesPropofolRemifentanilSevofluraneintubation conditionslaryngeal injuryremifentanilSevofluranesexsore throat

Identifiers

PMID28449630
PMCPMC5536408
OpenAlexW2608329324

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.